Brothers' Assisted Living LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

12AL0138-A Issued in MD

Legal business name

BROTHERS' ASSISTED LIVING LLC

Doing business as

Victorian Estates Assisted Linving

Practice address

144 N. Hickory Ave
Bel Air, MD 21014

Phone

(410) 893-9164

Fax

(410) 893-0775

NPI assigned

Dec 18, 2009

Last updated

Dec 18, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark Humes

Title

Co-Owner

Phone

(443) 504-2059

Specialties & licenses 1

Addresses

Other names 1

• Victorian Estates Assisted Linving Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1336478411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 753",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "443-504-2059",
            "fax_number": "410-893-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 N. HICKORY AVE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-893-9164",
            "fax_number": "410-893-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS' ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "HUMES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "443-504-2059",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "12AL0138-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victorian Estates Assisted Linving",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Brockmeyer
• Nathan Brockmeyer, LCPC
• Leah Brody
• Rebecca N Brogan
• Antwon Brooks
• Chelsea Nicole Brown, NP
• Danielle Brown, NP
• Dillon Brown
• Dominic Letray Brown, OD
• Kaylee D. Brown, CRNP

• Skilled Nursing Facility in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.